DR. EDOMIAS DESTA (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1124549266
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for DR. EDOMIAS DESTA (MD)
PO BOX 6210
FARMINGTON, NM 874996210
Phone: (505) 609-2258
Fax: (505) 609-2259
Type: Mailing
San Juan Regional Medical Center, 801, West Maple Street, Farmington, San Juan County, New Mexico, 87401, United States
FARMINGTON, NM 874015630
Phone: (505) 609-6463
Fax: (505) 609-6074
Type: Location
13219 DOTSON RD STE 210
HOUSTON, TX 770704308
Phone: (281) 955-0338
Fax: (281) 469-0741
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200731001561 | I | Internal Medicine | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 391 | 179 | $0 |
| 99291 | Critical care, first 30-74 minutes | 142 | 83 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 139 | 134 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 75 | 72 | $0 |
Insurance plans in this area (ZIP 87499)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ME | |
| - | NM | |
| Internal Medicine, Hospitalist, Internal Medicine | NM | |
| Physician Assistant | TX | |
| - | MN | |
| Clinical Psychologist | TX | |
| - | NM | |
| N E U R O L O G Y | TX | |
| Internal Medicine | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NM |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.